American Bass Association PA & NJ - 2007 Tournament Application Form

Boater:

Address:

City:

State:

Zip Code:

Phone

Rider:

Address:

City:

State:

Zip Code:

Phone

Boat Information:

Length & H.P.

Registration #:

Insurance Co:

Policy #:

Tournament Date:

[select one] Potomac River - April 28, 2008 Susquehanna Flats - May 10, 2008 Lake Wallenpaupack June 14, 2008 Hudson River - July 13, 2008 Potomac River September 7, 2008

Amount Paid:

[select one] $150.00 $160.00

Lunker Pot:

[select one] Yes No

Entry Fee $150.00  "Lunker Pot" $10.00  Total $160.00

All applicants must be current members in good standing on the tournament date the application is entered for.  By entering an American Bass Association PA & NJ tournament, I hereby waive all liability claims against tournament sponsors, hosts, tournament officials and all parties associated with said tournament.  I agree to all tournament rules and agree to submit to a polygraph test if required.
All applications must be post marked no later than 15 days prior to the event for which they are for.
All applicants must show the following at the ramp: a current ABA membership card, a valid boat insurance card and a valid fishing license.

Print this page and mail along with your check to the address below.
Please send payment to :
American Bass Association PA & NJ
191 Pumpkin Hill Road
Glenmoore, PA 19343-1516
484-356-5570